Northern Arizona Pharmacy LLC
NPI #1194175588 in Chino Valley, Arizona
Provider Information
- NPI Number
- 1194175588
- Entity Type
- Organization
- Organization Name
- Northern Arizona Pharmacy LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jun 15, 2016
- Last Updated
- Dec 20, 2019
Practice Location
- Address
- 1932 N STATE ROUTE 89
- City
- Chino Valley
- State
- Arizona
- ZIP Code
- 86323-5643
- Phone
- (928) 515-0046
Authorized Official
- Name
- DR. JASON JAMES DYKSTRA, PHARMD
- Title
- PHARMACIST
- Phone
- (928) 515-0046
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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